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NPI Code Detail

MEDICARE: REDLANDS UNIFIED SCHOOL DISTRICT

MEDICARE: REDLANDS UNIFIED SCHOOL DISTRICT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251300000XLocal Education Agency (LEA)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1669512059
Entity Type Code : Organization
Provider Name (Legal Business Name) : REDLANDS UNIFIED SCHOOL DISTRICT
Provider Business Mailing Address
First Line : 20 W LUGONIA AVE
Second Line :
City : REDLANDS
State : CA
Zip : 92374-2234
Country : US
Telephone Number : 909-307-5300
Fax Number : 909-307-5344
Provider Business Practice Location Address
First Line : 20 W LUGONIA AVE
Second Line :
City : REDLANDS
State : CA
Zip : 92374-2234
Country : US
Telephone Number : 909-307-5300
Fax Number : 909-307-5344
Authorized Official
Title or Position : DIRECTOR OF FISCAL SERVICES
Name : SHERRYL AVITABILE
Credential :
Telephone Number : 909-307-5300
Provider Enumeration Date : 02/07/2007
Last Update Date : 08/22/2020

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1023383510 — DISEPH TOMI UMAH-MGBOROGWU
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92374-2234
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Practice Location Address:
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Directions to “REDLANDS UNIFIED SCHOOL DISTRICT ” Practice Location

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